• Manager , DRG Validation

    Zelis (St. Petersburg, FL)
    …adherence to Zelis standards regarding privacy What you'll bring to Zelis: + Registered Nurse licensure required + Inpatient Coding Certification required (ie, ... interests that shape who you are. Position Overview The Manager , DRG Validation of the Expert Claims Review (ECR)...operations and team management of the DRG product. The Manager , DRG Validation will be primarily responsible for the… more
    Zelis (08/02/25)
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  • Utilization Review Specialist Sr.

    BayCare Health System (Tampa, FL)
    …Requirement:** Every Third Weekend + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + ... + Preferred experience includes Critical Care or Emergency Nursing RN . **Position details:** + **Location:** St Joseph's Hospital(Tampa, FL)-...years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
    BayCare Health System (08/26/25)
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  • Utilization Review Spec Sr

    BayCare Health System (Clearwater, FL)
    …then eligible for remote) + **On Call:** No **Certifications and Licensures:** + Required RN ( Registered Nurse ) + Preferred ACM (Case Management) + Preferred ... + Preferred experience includes Critical Care or Emergency Nursing RN . **Position details:** + **Location:** Morton Plant Hospital +...years in Case Management or + Required 3 years Registered Nurse + Preferred experience in Critical… more
    BayCare Health System (08/22/25)
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  • Director Cardiac Care Med Surg

    HCA Healthcare (Panama City, FL)
    …members as needed. **What qualifications you will need:** + Bachelors Degree + (APRN) Advanced Practice Registered Nurse , or ( RN ) Registered Nurse + ... HCA Florida Gulf Coast Hospital, you can be a manager in an organization that is devoted to giving!...Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Become a manager with an organization that invests in your career… more
    HCA Healthcare (08/31/25)
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  • Supervisor, Care Management

    Molina Healthcare (FL)
    …for contact are per ToC protocols. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational Nurse ... regarding complexity of medical or psychosocial needs and case manager experience ( RN , LSW, other allied fields).... Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or master's degree in… more
    Molina Healthcare (08/27/25)
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  • Manager Emergency Services Maricamp

    HCA Healthcare (Ocala, FL)
    …to achieve savings. **What qualifications you will need:** + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an ... We care like family! Jump-start your career as a Manager Emergency Services Maricamp today with HCA Florida Ocala...Life Support (BLS) + Associate Degree in Nursing or RN Diploma required; Bachelor's Degree preferred 1+ years of… more
    HCA Healthcare (08/24/25)
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  • Manager Emergency Services Suwannee

    HCA Healthcare (Lake City, FL)
    …to achieve savings. **What qualifications you will need:** + Currently licensed as a registered professional nurse in the state(s) of practice and/or has an ... **Introduction** Do you have the career opportunities as a Manager Emergency Services Suwannee you want in your current...Life Support (BLS) + Associate Degree in Nursing or RN Diploma required; Bachelor's Degree preferred + 1+ years… more
    HCA Healthcare (08/26/25)
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  • Field Case Manager -Sign-On Bonus Eligible

    Sedgwick (West Palm Beach, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **This Field Case Manager will cover Jupiter, West ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or graduate degree in health or… more
    Sedgwick (07/21/25)
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  • Director of Care Management FT Days

    AdventHealth (Minneola, FL)
    …expertise and experiences you'll need to succeed** **:** **EDUCATION AND EXPERIENCE REQUIRED:** Registered Nurse : BSN Social Worker: MSW or BSW Masters in ... above) experience in Care Management/Social Work leadership **EDUCATION AND EXPERIENCE PREFERRED:** Registered Nurse : MSN Social Worker: MSW with LCSW 5-7 years… more
    AdventHealth (08/23/25)
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  • Clinical Sales Specialist, Structural Heart, TAVI…

    Abbott (Tallahassee, FL)
    …degree ie, Registered Cardiovascular Invasive Specialist (RCIS), Certified Cardiology Technician, Registered nurse ( RN ) or Nurse Practitioner (NP), ... the trial and commercial sales process in collaboration with the Territory Manager (TM) to educate interventional cardiologists, cardiac surgeons, and hybrid OR/cath… more
    Abbott (08/02/25)
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